TY - JOUR
T1 - Surgical interns
T2 - Preparedness for opioid prescribing before and after a training intervention
AU - Nooromid, Michael J.
AU - Mansukhani, Neel A.
AU - Deschner, Benjamin W.
AU - Moradian, Simon
AU - Issa, Nabil
AU - Ho, Karen J.
AU - Stulberg, Jonah J.
N1 - Funding Information:
Work reported in this publication was partially supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32HL094293 in the form of partial stipend support for author MJN and NAM. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
Dr. Stulberg is the primary investigator of a grant (R34DA044752) from the National Institute on Drug Abuse of the National Institutes of Health titled “System-Level Implementation to Reduce Excess Opioid Prescribing in Surgery.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Dr. Stulberg is the primary investigator of a grant from the Digestive Health Foundation ( www.digestivehealthfoundation,org ) titled “A Multidisciplinary Collaboration to Minimize Diversion of Opioids.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the Digestive Health Foundation. The authors would also like to acknowledge Dr. Jane Holl for her assistance in critically reviewing this manuscript.
Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/2
Y1 - 2018/2
N2 - Introduction: Exposure to pain management curriculum in medical school is currently variable. This paper reports on formal prescribing education, self-perceived prescribing readiness, and prescribing practices among incoming surgical residents before and after a pain management training session. Methods: Pre-residency survey of thirty surgical interns at a single urban medical center, followed by a repeat survey after an educational session on prescription writing and opioid abuse. Results: Thirty-three percent of respondents had formal education on prescription writing in medical school. Median subjective preparedness to write an opioid prescription was 1.5 (range 1–10) on a 1–10 Likert scale. Ranges of morphine milligram equivalents (MME) prescribed varied from 420-2700 MME for 8 mock surgical scenarios. Post-training, median subjective preparedness increased to 3.5 (range 1–6) and prescription accuracy (the inclusion of a medication, dose, frequency, and duration) improved from 75% to 97% (p < 0.001). Overall, 90% of interns found the training session useful. Conclusion: Most surgical interns were not trained in prescribing narcotics in medical school. Improved pain management curriculum is necessary to assure safe and consistent opioid prescriptions.
AB - Introduction: Exposure to pain management curriculum in medical school is currently variable. This paper reports on formal prescribing education, self-perceived prescribing readiness, and prescribing practices among incoming surgical residents before and after a pain management training session. Methods: Pre-residency survey of thirty surgical interns at a single urban medical center, followed by a repeat survey after an educational session on prescription writing and opioid abuse. Results: Thirty-three percent of respondents had formal education on prescription writing in medical school. Median subjective preparedness to write an opioid prescription was 1.5 (range 1–10) on a 1–10 Likert scale. Ranges of morphine milligram equivalents (MME) prescribed varied from 420-2700 MME for 8 mock surgical scenarios. Post-training, median subjective preparedness increased to 3.5 (range 1–6) and prescription accuracy (the inclusion of a medication, dose, frequency, and duration) improved from 75% to 97% (p < 0.001). Overall, 90% of interns found the training session useful. Conclusion: Most surgical interns were not trained in prescribing narcotics in medical school. Improved pain management curriculum is necessary to assure safe and consistent opioid prescriptions.
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U2 - 10.1016/j.amjsurg.2017.11.017
DO - 10.1016/j.amjsurg.2017.11.017
M3 - Article
C2 - 29179909
AN - SCOPUS:85034843543
SN - 0002-9610
VL - 215
SP - 238
EP - 242
JO - American journal of surgery
JF - American journal of surgery
IS - 2
ER -